A diagnostic score for children with suspected appendicitis

Abstract

The use of a predictive mathematical model may facilitate the diagnosis of appendicitis to avoid unnecessary operations.

Assessing the Reliability of Alvarado Scoring System in Prediction of Acute Appendicitis.

“…In a seminal study, Vukovik etal. also reported an overall negative appendectomy 15.79% and overall positive appendectomy 84.21% [11]. All these data furnished in previous studies are comparable to our results.…”

“…The positive LR score and low negative LR score shows that Alvarado score (7-10) is an indicator of high risk of acute appendicitis. However, the specificity and selectivity were quite low from other studies [11,12]. Whereas, the sensitivity and specificity for intermediate to high Alvarado score were 0.85 (85%) and 0.46 (46%), respectively.…”

Akut Apandisit Değerlendirilmesinde Dört Farklı Skorlama Sisteminin Değerlendirilmesi; İleri Dönük Klinik Çalışma

“…Bu amaçla tanımlanan ilk skorlama sistemi Alvarado skorlama sistemidir (18), sonrasında pediatrik yaş grubu için Lintula (19), Asya'daki hastalar için RIPASA (20) sistemi geliştirilmiştir.…”

Missed Appendicitis in Primary Care: Lessons Learned

“…The use of seven independent predictive variables in Ohmann score (right lower quadrant pain, rebound tenderness, no micturition difficulties, steady pain, leukocyte count ≥ 10.0, age ≤ 50 years, and positive abdominal rigidity) [26]. The predictive symptoms and signs to diagnosis appendicitis in children by using Lintula score (gender, intensity of pain, relocation of pain, vomiting, pain in the right lower quadrant, fever, guarding, bowel sounds and rebound tenderness); which subsequently been validated in adults [27,28]. The Fenyo-Lindberg scoring system uses nine clinical and one laboratory variable to form a score to predict cases of appendicitis [29].…”

“…To increase accuracy of early diagnosis of appendicitis and decrease the rate of negative histopathology of appendectomy, we need to identify clinical scoring systems, laboratory and diagnostic imaging [21][22][23][24][25][26][27][28][29].…”